NPI | 1992333686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-162479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075884) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-10-03 |